NPI | 1043648736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 0S13013) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL os13013) |
207P00000X Emergency Medicine (Licence: FL UO2923) | |
Enumeration Date | 2013-10-16 |
Last Update Date | 2020-10-14 |